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Table 5 Barriers preventing chiropractic orthopedic diplomates from practicing evidence-based clinical practice ( n= 132)

From: Attitudes toward evidence-based clinical practice among doctors of chiropractic with diplomate-level training in orthopedics

  Not a barrier (%) A minor barrier (%) A moderate barrier (%) A major barrier (%)
Lack of clinical evidence in CAM 18 (13.6) 42 (31.8) 58 (43.9) 14 (10.6)
Lack of industry support for EBCP 50 (37.9) 58 (43.9) 22 (16.7) 2 (1.5)
Lack of time 18 (13.6) 48 (36.4) 43 (32.6) 23 (17.4)
Insufficient skills for locating research 50 (37.9) 54 (40.9) 21 (15.9) 7 (5.3)
Insufficient skills for interpreting research 45 (34.1) 55 (41.7) 24 (18.2) 8 (6.1)
Insufficient skills to critically appraise/evaluate the literature 40 (30.3) 60 (45.5) 25 (18.9) 7 (5.3)
Insufficient skills to apply research findings to clinical practice 44 (33.3) 65 (49.2) 20 (15.2) 3 (2.3)
Patient preference for treatment 50 (37.9) 58 (43.9) 22 (16.7) 2 (1.5)
Lack of resources 86 (65.2) 33 (25.0) 12 (9.1) 1 (0.8)
Lack of incentive to participate in EBCP 48 (36.4) 41 (31.1) 29 (22.0) 14 (10.6)
Lack of interest in EBCP 73 (55.3) 45 (34.1) 7 (5.3) 7 (5.3)
Lack of relevance to chiropractic practice 63 (47.7) 47 (35.6) 19 (14.4) 3 (2.3)
Lack of colleague support for EBCP 62 (47.0) 38 (28.8) 24 (18.2) 8 (6.1)
  1. CAM complementary and alternative medicine.
  2. EBCP evidence-based clinical practice.